Sundance · 55.5 mi
Crook County Medical Services District Long Term C
2 of 5 · Medicare
View facility →The Legacy Living and Rehabilitation Center
⌖ Gillette, WY · Campbell County · Medicare data as of September 2026
No photos yet
Medicare overall ratingNot yet rated
Certified beds160
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)
About The Legacy Living and Rehabilitation Center
The Legacy Living and Rehabilitation Center is a 160-bed government-run nursing home in Gillette, WY. Medicare has not given it an overall star rating yet.
Special Focus Facility. Medicare puts homes with a history of serious problems on this short list and inspects them more often.
- Inspections: 6 problems at its last full inspection (Mar 2026), close to the Wyoming average of 7.8. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 4 hr 35 min a day with each resident, more than the Wyoming average of 3 hr 52 min. About 70% of nursing staff left in the past year.
- Fines: $115,597 in federal fines in the last three years.
- Stands out: 0.6% of long-term residents had pressure sores (bedsores), compared with 4.6% nationally.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameThe Legacy Living And Rehabilitation Center
LocationCampbell County, Wyoming
Phone(307) 688-7000
Address1000 S Douglas Way, Gillette, WY 82716 · Campbell County
Medicare provider number535022
Ownership typeGovernment (hospital district)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 16, 1984 (42 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 4 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Mar 2026No citations for actual harm or immediate jeopardy since Mar 2026.Strength
- Nurse staffing per resident4 hr 35 min a dayWyoming average: 3 hr 52 minStrength
About average
- Health citations at last inspection6 (Mar 2026)Wyoming average: 7.8.About average
- Registered nurse time per resident54 min a dayWyoming average: 56 minAbout average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Special Focus FacilityYesMedicare lists this home among those with a history of serious quality problems and inspects it more often until it improves.Ask about this
- Fines and penalties4 fines totaling $115,597Federal penalties from the last three years, most recently in Apr 2025 (about 1 year ago). The national average is $30,972 per home.Ask about this
- Nursing staff turnover70% a yearWyoming average: 52%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Wyoming average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital26.7%State average: 18.9%Worse than average
- Needed an emergency room visit40.6%State average: 16.7%Worse than average
Physical therapist time: about 1 minute a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 2 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury9.3%State average: 4.7%Worse than average
- Pressure sores (bedsores)0.6%State average: 4.6%Better than average
- Given antipsychotic drugs14.0%State average: 21.8%Better than average
- Hospital stays per 1,000 resident days2.2State average: 1.3Worse than average
Source: Medicare (CMS) quality measures, compared with the Wyoming average. Lower is better for every rate shown.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Wyoming’s Medicaid program uses about $10,114 a month as the average cost of nursing home care (January 2026); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Wyoming →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 1 star now, down from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 9 times.
Overall rating1★
Health inspections1★
Staffing3★
Quality of care4★
Nurse hours per resident per day4.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 4 | 1 | 5 | – |
| Jan 2020 | 3 | 2 | 3 | 5 | 3.7 |
| Jan 2021 | 5 | 3 | 4 | 5 | 3.7 |
| Jan 2022 | 3 | 3 | 3 | 4 | 3.7 |
| Jan 2023 | 3 | 3 | 3 | 4 | 4.1 |
| Jan 2024 | 2 | 2 | 4 | 3 | 4.3 |
| Feb 2025 | 1 | 1 | 4 | 4 | 4.2 |
| Feb 2026 | – | – | – | – | 4.1 |
| Sep 2026 | – | – | – | – | 4.6 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.